HomeMy WebLinkAbout0008569-Plumbing (laterals)
..-..-
)
'\
j
PLUMBiNG PERM~T - Os~~osh, Wisconsin Permit N~ 8569
:~r A-..b:__t2__--~.._----------------------- ::!:r -c:hi--~-~~ :~tr ~jL~_ÚI...5._--~..3.l.~
[.LoiNO> I Block I Ward I Addiiion or Replai
OUTSIDE WORK
=
Date
NEW SOWEll WATER STORMS fEES FE" .ELAY 5- 'EW'. WATE' STORMS "'5
From Mala 10 C\œb J" /%;" M-t1 Septic Tanks From Main 10 Curb
FJom C\œb 10 Builcllnø Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO- NEW u,- USED flES NO- NEW 'EP- .". "" NO- N'W ..,- USE. FEES
~
Beth Tub Garbag" DispooaIs Cúcb BasIna
Wuh BuiD Dish.....b... Conduclor.
- ~ ~
Waiv CloHt LaUDClr- Grease Catch Basins
Slak Wat"r Softener. Sump Pump 8< Ejector.
Waiv Healers Saniluy Bubble.. Bar end Soda Wasle.
Show.. Búbs Urinals
Floor DrDlnø Denta! Cuspido"
La"",!..,. Tubs Serrice Sinks
I,,"pactio,," Valualion of Ihe Work Herein Described Fee Verified. Receipled and Recorded R"led Permit and Inspsclion Fees
ø.d '3.."""
---------------..----..Oulside $------_.J.¿ Q.-::=---------------------------- - ,;:;;)-----------80wer Fees
---- -..----..---..-- ..------Inside ¡f--~;:þ_..__PJbg> Fee.
$-----..------..------..----------------------
----~k --~Inal -;;; -------------"-----------Clîÿ-T;;;;-.~;~;------------_---__m- ----- --------....-TofBI
$---..---..--..--------------------- Dale f-/¿ -7'::-
In the performance of this work the undersigned owner (er hi. authorized ago..t) ef ..id premi..s and his authorized Plumber hereby agree to be bounden by end
submit to all stalutes, city ordinance., and rules and ",gulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the abo-,e connection. except as hereinafter listed.
--L2/-- --"-----¡¡;;;'-;;-Õf-¡;;;;~-;;"""- It ..tho od ""';r-.
<~ ... - '.L;.¡.---\-#. d._-.1--------------------------
-- -- - ----- --'1 n. In ,/ /
-~¿¡¿ ---~{;.fj--/.-~- -- __m_- ---_____-m --..--..-- -----